Cesáreas en adolescentes atendidas en el Hospital Nacional Santa Rosa durante el periodo 2010 - 2012
Year: 2013
Type: dissertation
Study design: Observational Study
Abstract: --- INTRODUCTION: The cesarean adolescents and surgical termination of pregnancy is an intervention that requires greater caution, care and skill to be a vulnerable age group. The characteristic factors of adolescents undergoing cesarean section and the determinants of this surgery must be known and described. \n \nOBJECTIVE: Recognize the characteristic factors of adolescents undergoing cesarean section. \n \nMATERIAL AND METHODS: A quantitative and descriptive study is presented. 2012 - cesarean medical records of adolescents who met the inclusion and exclusion criteria during the period 2010 were included. Finding a total of 530 medical records. \n \nRESULTS: In 2010 , the cesarean rate in adolescents accounted for 44.6 % , in 2011 was 42.5 %, while in 2012 was 38.8 %. 96.8% of adolescents were in the period of Late Adolescence, while 3.2% of Early Adolescence. With regard to socio-cultural factors , with regard to level of education , 56.0 % had incomplete secondary , complete secondary 30.8% , 5.1 % university incomplete , 4.0% Technical incomplete , 2 , 1% of full technical , 1.7% primary and incomplete primary 0.4 % complete. Regarding marital status, 62.5 % were single, 35.3 % and 2.3% cohabiting married. In regard to the number of pregnancies, 82.1 % were primiparous , 16.6% it was their second pregnancy and 1.3% were multigravidas . With respect to prenatal care, 11.7 % no prenatal care , 52.8 % had less than six prenatal visits , while 35.5 % had six or more prenatal visits . Also, the main indications for cesarean were Acute Fetal Distress with 9.6 %, with 7.3% Funicular dystocia, 7.0% Mild Preeclampsia and other indications not specified with 8.7%. Finally, regarding the type of cesarean, 71.9 % were emergency while 28.1% were elective. \n \nCONCLUSIONS: The rate of cesarean section decreased from 44.6 % in 2010 to 38.8% in 2012. 96.8% of adolescents were in late adolescence. With regard to socio-cultural factors, most (56.0 %) had incomplete secondary education level and as most teenagers were single (62.5 %). For 82.1 % it was her first pregnancy. Only 35.5 % had six or more prenatal visits, also 11.7% had none. The main cause of caesarean section was fetal distress with 9.6 %. Most cesarean sections (71.9 %) were emergency. \n \nKEYWORDS: Caesarea in adolescents, cesarean indication, level of education, marital status, prenatal care, cesarean rate, adolescence.
Language: Spanish
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1490431349